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導尿管相關的菌尿和尿路感染

Urinary catheter-associated Bacteriuria and Urinary Tract Infection

摘要


導尿管所導致的相關尿路感染是院內最常見的感染。文獻研究指出,每增加1天導尿管留置的時間則其菌尿(bacteriuria)的發生率就會增加3%至8%。若導尿管留置的時間超過一個月,幾乎所有的個案都會發生菌尿。雖然因導尿管相關的菌尿而導致發生菌血症(bacteremia)的機率僅從不到1%至4%左右,但若病患併發菌血症則其死亡率可高達13%。降低導尿管相關的尿路感染最好的措施就是減少不必要的導尿管留置、提早移除導尿管和做好相關的感染管制措施。本篇整理文獻中相關成人(≥18歲)留置導尿管所造成的菌尿和尿路感染的診斷、預防與治療,籍此讓醫護人員對於導尿管所導致的相關感染照護更加暸解,以降低病患之併發症和死亡率,減少不必要的醫療支出。

關鍵字

無資料

並列摘要


Urinary catheter-associated urinary tract infection (UTI) is one of the most common nosocomial infections. The incidence of bacteriuria in patients with indwelling Urinary catheter was reported to range between 3% and 8% per day. Among patients with bacteriuria, 25% developed symptoms of UTI, whereas 1% to 4% developed bacteremia. Among patients with UTI, those with catheter-related bacteremia have a higher mortality rate than those without. Catheter-related infection has led to a substantial increase in healthcare costs. The most important risk factor for Urinary catheter-associated UTI is prolonged catheterization. Almost all patients with long-term (≥30 days) indwelling catheters developed bacteriuria. The most effective way to reduce the incidence of UTI is to restrict urinary catheterization to patients with clear indications and remove the Urinary catheter as soon as it is no longer needed. In this report, we extensively reviewed recent publications and guidelines for the diagnosis, prevention, and management of patients with urinary catheter-associated bacteriuria, both symptomatic and asymptomatic.

並列關鍵字

無資料

被引用紀錄


曾月婷、張秀能(2016)。提升留置導尿管病患對尿袋固定之滿意度彰化護理23(2),16-27。https://doi.org/10.6647/CN.23.02.09
范姜玉珍、顏雅卉、陳淑雯(2019)。護理指導資訊化輔助降低導尿管及非導管之泌尿道感染率之改善專案護理雜誌66(2),77-84。https://doi.org/10.6224/JN.201904_66(2).10
王佩琮、林湘玉、林意純、辛文蕙、簡莉盈、林小玲(2017)。依適應症提示移除尿管可降低內科病房導尿管相關尿路感染護理雜誌64(1),70-79。https://doi.org/10.6224/JN.000010

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